| NPI | 1871568113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 20152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-0031) |
| 207R00000X Internal Medicine (Licence: WA MD60983758) | |
| 207R00000X Internal Medicine (Licence: VA 0101235353) | |
| 207R00000X Internal Medicine (Licence: OR MD191698) | |
| 208M00000X Hospitalist (Licence: WA MD60983758) | |
| 208M00000X Hospitalist (Licence: NC 2017-0031) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-09-20 |