| NPI | 1770590846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-06088) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2006018696) |
| 207R00000X Internal Medicine (Licence: MO 2006018696) | |
| 208M00000X Hospitalist (Licence: MO 2006018696) | |
| 208M00000X Hospitalist (Licence: IA DO-06088) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-08-30 |