| NPI | 1669644589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 064745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 064745) |
| 208M00000X Hospitalist (Licence: NC 244096) | |
| 208M00000X Hospitalist (Licence: SC 81916) | |
| 208M00000X Hospitalist (Licence: TN 58481) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-03-05 |