| NPI | 1992889612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00034685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00034685) |
| 207R00000X Internal Medicine (Licence: TX K3987) | |
| 207R00000X Internal Medicine (Licence: AZ 68890) | |
| 207R00000X Internal Medicine (Licence: OH 35C.000345) | |
| 207R00000X Internal Medicine (Licence: NV 23263) | |
| 207R00000X Internal Medicine (Licence: CO CDR.0002403) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-03-26 |