| NPI | 1316233661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01079857A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18717) |
| 207R00000X Internal Medicine (Licence: AZ 49217) | |
| 207R00000X Internal Medicine (Licence: TN 54192) | |
| 208M00000X Hospitalist (Licence: AZ 49127) | |
| 208M00000X Hospitalist (Licence: FL ME130170) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2023-10-05 |