| NPI | 1720493943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A151504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A151504) |
| 207R00000X Internal Medicine (Licence: TX S0087) | |
| 207R00000X Internal Medicine (Licence: AZ 55638) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A151504) | |
| 208M00000X Hospitalist (Licence: TN 69084) | |
| 208M00000X Hospitalist (Licence: TX S0087) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-01-31 |