| NPI | 1104026236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101245671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35096635) |
| 207R00000X Internal Medicine (Licence: TX R6250) | |
| 208M00000X Hospitalist (Licence: MD D77710) | |
| 208M00000X Hospitalist (Licence: NC 2007-01140) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2023-03-01 |