| NPI | 1013913102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME105948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 1244797) |
| 207R00000X Internal Medicine (Licence: CA A110949) | |
| 207R00000X Internal Medicine (Licence: MO 2011035989) | |
| 207R00000X Internal Medicine (Licence: WI 50291-020) | |
| 207R00000X Internal Medicine (Licence: VA 0101246131) | |
| 207R00000X Internal Medicine (Licence: ME 18320) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA08633100) | |
| 207R00000X Internal Medicine (Licence: NY 254229) | |
| 207R00000X Internal Medicine (Licence: WV 25465) | |
| 208M00000X Hospitalist (Licence: ME 18320) | |
| 208M00000X Hospitalist (Licence: CO DR.0055143) | |
| 207R00000X Internal Medicine (Licence: PA MD432005) | |
| 207R00000X Internal Medicine (Licence: IL 036134319) | |
| 207R00000X Internal Medicine (Licence: TN 51061) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2022-12-08 |