| NPI | 1639338288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9645354-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60246121) |
| 207R00000X Internal Medicine (Licence: CO DR-50820) | |
| 207R00000X Internal Medicine (Licence: CA A104160) | |
| 207R00000X Internal Medicine (Licence: ME MD19059) | |
| 207R00000X Internal Medicine (Licence: UT 9645354-1205) | |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2017-05-05 |