| NPI | 1013924612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2014-0866) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD173692) |
| 207R00000X Internal Medicine (Licence: FL ME 96323) | |
| 207R00000X Internal Medicine (Licence: AZ 42225) | |
| 208M00000X Hospitalist (Licence: CO DR0051559) | |
| 208M00000X Hospitalist (Licence: OR MD173692) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-03-27 |