| NPI | 1427449297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 19637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME136179) |
| 207R00000X Internal Medicine (Licence: CA A168323) | |
| 207R00000X Internal Medicine (Licence: MD D87254) | |
| 208M00000X Hospitalist (Licence: WI 82866-20) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2025-10-24 |