| NPI | 1629463674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2018-02762) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME DO2854) |
| 208M00000X Hospitalist (Licence: WI 135-321) | |
| 208M00000X Hospitalist (Licence: TN 4153) | |
| 208M00000X Hospitalist (Licence: NV CL0099) | |
| 208M00000X Hospitalist (Licence: MS 26093) | |
| 208M00000X Hospitalist (Licence: MN 68188) | |
| 208M00000X Hospitalist (Licence: GA 81937) | |
| 208M00000X Hospitalist (Licence: FL OS14365) | |
| 208M00000X Hospitalist (Licence: CO DR.0062191) | |
| 208M00000X Hospitalist (Licence: AL DO.2329) | |
| 208M00000X Hospitalist (Licence: WV 3488) | |
| 208M00000X Hospitalist (Licence: MT 68670) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2021-03-04 |