| NPI | 1235280470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C131872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036125084) |
| 207R00000X Internal Medicine (Licence: GA 058417) | |
| 207R00000X Internal Medicine (Licence: AZ 276152) | |
| 208M00000X Hospitalist (Licence: CA C131872) | |
| 208M00000X Hospitalist (Licence: FL ME124342) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2023-09-25 |