| NPI | 1205022084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A110055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 110055) |
| 207R00000X Internal Medicine (Licence: NE 24295) | |
| 207R00000X Internal Medicine (Licence: TX S5744) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10681000) | |
| 207R00000X Internal Medicine (Licence: CO DR.0062832) | |
| 207R00000X Internal Medicine (Licence: WA MD61157145) | |
| 208M00000X Hospitalist (Licence: CO DR.0062832) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2023-12-18 |