| NPI | 1982912465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME126196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01071128A) |
| 207R00000X Internal Medicine (Licence: FL ME126196) | |
| 207R00000X Internal Medicine (Licence: OR MD207087) | |
| 208M00000X Hospitalist (Licence: KS 04-45927) | |
| 208M00000X Hospitalist (Licence: IN 01071128A) | |
| 208M00000X Hospitalist (Licence: OR MD207087) | |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2023-06-27 |