| NPI | 1730572793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 88860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R6300) |
| 207R00000X Internal Medicine (Licence: KS 05-47084) | |
| 208M00000X Hospitalist (Licence: CO DR.0063587) | |
| 208M00000X Hospitalist (Licence: IN 02005640A) | |
| 208M00000X Hospitalist (Licence: GA 8860) | |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2024-01-10 |