| NPI | 1023457975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 89901) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 64699) |
| 207R00000X Internal Medicine (Licence: FL ME154559) | |
| 207R00000X Internal Medicine (Licence: MI 4301506145) | |
| 207R00000X Internal Medicine (Licence: IL 036162076) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA11394900) | |
| 207R00000X Internal Medicine (Licence: NY 312163) | |
| 207R00000X Internal Medicine (Licence: OH 35.145657) | |
| 207R00000X Internal Medicine (Licence: RI MD17818) | |
| 207R00000X Internal Medicine (Licence: TN 68555) | |
| 207R00000X Internal Medicine (Licence: TX T5592) | |
| 207R00000X Internal Medicine (Licence: CA C175892) | |
| 208M00000X Hospitalist (Licence: MA 269031) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2024-12-04 |