| NPI | 1881757409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 329563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025000230) |
| 208M00000X Hospitalist (Licence: ME MD25618) | |
| 208M00000X Hospitalist (Licence: MO 2025000230) | |
| 208M00000X Hospitalist (Licence: CA C56197) | |
| 207R00000X Internal Medicine (Licence: LA 329563) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 22497) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MT188482) | |
| 207R00000X Internal Medicine (Licence: MS 22497) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-09-15 |