| NPI | 1619160512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101263562) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 52579) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N9851) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01080451) | |
| 208M00000X Hospitalist (Licence: OH 089378) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2023-01-26 |