| NPI | 1629429667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD198725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109225) |
| 207R00000X Internal Medicine (Licence: OR MD198725) | |
| 207R00000X Internal Medicine (Licence: OR PG192062) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: OR MD198725) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-03-15 |