| NPI | 1629230073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P9784) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 24067) |
| 208M00000X Hospitalist (Licence: WV 24067) | |
| 208M00000X Hospitalist (Licence: VA 0101247870) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-04-22 |