| NPI | 1851654776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60657255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-20141) |
| 207R00000X Internal Medicine (Licence: MN 64630) | |
| 207R00000X Internal Medicine (Licence: CA A148449) | |
| 207R00000X Internal Medicine (Licence: AZ 52366) | |
| 207R00000X Internal Medicine (Licence: OR MD182858) | |
| 207R00000X Internal Medicine (Licence: MA 268934) | |
| 207R00000X Internal Medicine (Licence: PA MD458810) | |
| 207R00000X Internal Medicine (Licence: WA MD60657255) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2020-11-12 |