| NPI | 1609006410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 18117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-7628) |
| 208M00000X Hospitalist (Licence: TX Q8381) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2023-01-28 |