| NPI | 1205248937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0073046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 27638) |
| 207R00000X Internal Medicine (Licence: MA 277057) | |
| 207R00000X Internal Medicine (Licence: PA MD461849) | |
| 207R00000X Internal Medicine (Licence: CO DR.0073046) | |
| 207R00000X Internal Medicine (Licence: ME MD23785) | |
| 208M00000X Hospitalist (Licence: NH 20464) | |
| 208M00000X Hospitalist (Licence: MA 277057) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2026-07-14 |