| NPI | 1659418382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 285118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00047265) |
| 207R00000X Internal Medicine (Licence: NC 2009-01534) | |
| 208M00000X Hospitalist (Licence: OR MD27189) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-08-21 |