| NPI | 1114289550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102206189) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2019045199) |
| 207R00000X Internal Medicine (Licence: CA 20A13207) | |
| 207R00000X Internal Medicine (Licence: MO 2019045199) | |
| 207R00000X Internal Medicine (Licence: MI 5101025542) | |
| 207R00000X Internal Medicine (Licence: IL 036152035) | |
| 208M00000X Hospitalist (Licence: IL 036152035) | |
| 208M00000X Hospitalist (Licence: CA 20A13207) | |
| 208M00000X Hospitalist (Licence: IN 02006351A) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-07-12 |