| NPI | 1194715656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 234025-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME100913) |
| 208M00000X Hospitalist (Licence: TN 64838) | |
| 208M00000X Hospitalist (Licence: FL ME100913) | |
| 207Q00000X Family Medicine (Licence: AZ 67476) | |
| 208M00000X Hospitalist (Licence: AZ 67476) | |
| 208M00000X Hospitalist (Licence: NY 234025) | |
| 208M00000X Hospitalist (Licence: IL 036163719) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2025-10-06 |