| NPI | 1679951214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-50738) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2018023716) |
| 207R00000X Internal Medicine (Licence: IN 01083171A) | |
| 208M00000X Hospitalist (Licence: IN 01083171A) | |
| 208M00000X Hospitalist (Licence: NE 34125) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2023-02-22 |