| NPI | 1295785566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME148377) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 50712) |
| 207R00000X Internal Medicine (Licence: NY 286185) | |
| 207R00000X Internal Medicine (Licence: NV 11479) | |
| 207R00000X Internal Medicine (Licence: CA C55941) | |
| 207R00000X Internal Medicine (Licence: CO DR.0057202) | |
| 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-55185) | |
| 207R00000X Internal Medicine (Licence: NM MD2016-0314) | |
| 208M00000X Hospitalist (Licence: MD D0084393) | |
| 208M00000X Hospitalist (Licence: NV 11479) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-06-12 |