| NPI | 1841270519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 41468) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID M-14732) |
| 208M00000X Hospitalist (Licence: NV 12639) | |
| 208M00000X Hospitalist (Licence: UT 12639) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-01-18 |