| NPI | 1982723821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME167080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48616-020) |
| 207R00000X Internal Medicine (Licence: CO 48498) | |
| 207R00000X Internal Medicine (Licence: VA 0101263961) | |
| 208M00000X Hospitalist (Licence: CO DR.0048498) | |
| 208M00000X Hospitalist (Licence: VA 0101263961) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-08-09 |