| NPI | 1306194667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 54072) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD466277) |
| 207P00000X Emergency Medicine (Licence: VA 0101260305) | |
| 207R00000X Internal Medicine (Licence: GA 076663) | |
| 207R00000X Internal Medicine (Licence: PA MD466277) | |
| 207R00000X Internal Medicine (Licence: VA 0101260305) | |
| 207R00000X Internal Medicine (Licence: FL ME125457) | |
| 208M00000X Hospitalist (Licence: WV 26519) | |
| 208M00000X Hospitalist (Licence: PA MD466277) | |
| 208M00000X Hospitalist (Licence: IN 01077558B) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2024-11-21 |