| NPI | 1134284524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 14268197-1234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME DO4081) |
| 207R00000X Internal Medicine (Licence: WA OP61628327) | |
| 207R00000X Internal Medicine (Licence: MO 113156) | |
| 207R00000X Internal Medicine (Licence: NV DO3147) | |
| 207R00000X Internal Medicine (Licence: KS 0538577) | |
| 208M00000X Hospitalist (Licence: MO 113156) | |
| 208M00000X Hospitalist (Licence: ME DO4081) | |
| 207R00000X Internal Medicine (Licence: MO D0113156) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2026-01-30 |