| NPI | 1164629515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI EMC0004797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 4790) |
| 207R00000X Internal Medicine (Licence: IL 036158477) | |
| 207R00000X Internal Medicine (Licence: LA MD.204283) | |
| 207R00000X Internal Medicine (Licence: NC 2022-02433) | |
| 207R00000X Internal Medicine (Licence: OH 35.145118) | |
| 207R00000X Internal Medicine (Licence: FL ME105030) | |
| 207R00000X Internal Medicine (Licence: TX U5862) | |
| 207R00000X Internal Medicine (Licence: MS 21044) | |
| 207R00000X Internal Medicine (Licence: FL TRN11509) | |
| 208M00000X Hospitalist (Licence: WI 4790) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2025-01-28 |