| NPI | 1225163454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 37428) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R1471) |
| 207R00000X Internal Medicine (Licence: MO 2015002903) | |
| 207R00000X Internal Medicine (Licence: KY 42332) | |
| 207R00000X Internal Medicine (Licence: KY R1471) | |
| 207R00000X Internal Medicine (Licence: FL ME104483) | |
| 208000000X Pediatrics (Licence: FL ME104483) | |
| 208M00000X Hospitalist (Licence: SC 37428) | |
| 208M00000X Hospitalist (Licence: MO 2015002903) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-11-19 |