| NPI | 1588190797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV DO3778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO3778) |
| 207R00000X Internal Medicine (Licence: VA 0102205627) | |
| 208M00000X Hospitalist (Licence: VA 0102205627) | |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2024-12-12 |