| NPI | 1376856039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 70415) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N8962) |
| 207R00000X Internal Medicine (Licence: NC 2015-00495) | |
| 207R00000X Internal Medicine (Licence: SC MD38814) | |
| 207R00000X Internal Medicine (Licence: LA MD.207776) | |
| 208M00000X Hospitalist (Licence: NC 2015-00495) | |
| 208M00000X Hospitalist (Licence: LA MD.207776) | |
| 208M00000X Hospitalist (Licence: TX N8962) | |
| 208M00000X Hospitalist (Licence: KS 0434428) | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2024-10-30 |