| NPI | 1316107428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 066574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-50270) |
| 207R00000X Internal Medicine (Licence: MO 2025052488) | |
| 207R00000X Internal Medicine (Licence: GA 003457) | |
| 207R00000X Internal Medicine (Licence: MD D0102042) | |
| 207R00000X Internal Medicine (Licence: FL ME172056) | |
| 207R00000X Internal Medicine (Licence: VA 0101286220) | |
| 207R00000X Internal Medicine (Licence: OK 44688) | |
| 207R00000X Internal Medicine (Licence: NJ 25IA12524000) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2026-01-26 |