| NPI | 1356621858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A153288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098104) |
| 207R00000X Internal Medicine (Licence: FL ME118374) | |
| 207R00000X Internal Medicine (Licence: GA 80651) | |
| 207R00000X Internal Medicine (Licence: TX S2706) | |
| 208M00000X Hospitalist (Licence: GA 80651) | |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2024-04-09 |