| NPI | 1346689742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME131462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285513) |
| 207R00000X Internal Medicine (Licence: IN 01081046A) | |
| 207R00000X Internal Medicine (Licence: MO 2020030326) | |
| 208M00000X Hospitalist (Licence: MO 2020030326) | |
| 208M00000X Hospitalist (Licence: SC 81945) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-03-04 |