| NPI | 1346235264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036105435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018016848) |
| 207R00000X Internal Medicine (Licence: NV 19579) | |
| 207R00000X Internal Medicine (Licence: MN 64714) | |
| 208M00000X Hospitalist (Licence: IL 036-105435) | |
| 208M00000X Hospitalist (Licence: IL 036105435) | |
| 208M00000X Hospitalist (Licence: MN 64714) | |
| 208M00000X Hospitalist (Licence: MO 2018016848) | |
| 208M00000X Hospitalist (Licence: NV 19579) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2023-06-28 |