| NPI | 1063592459 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34007904M) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX V3184) |
| 207R00000X Internal Medicine (Licence: FL OS21476) | |
| 207R00000X Internal Medicine (Licence: TX V3184) | |
| 208M00000X Hospitalist (Licence: OH 34.007904) | |
| 208M00000X Hospitalist (Licence: FL OS21476) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-12-16 |