| NPI | 1427551274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 79131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 326958) |
| 207R00000X Internal Medicine (Licence: FL ME151084) | |
| 207R00000X Internal Medicine (Licence: TX V2923) | |
| 207R00000X Internal Medicine (Licence: WI 4658-320) | |
| 207R00000X Internal Medicine (Licence: AL 49224) | |
| 207R00000X Internal Medicine (Licence: NJ 25IA12339800) | |
| 208M00000X Hospitalist (Licence: LA 326958) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2024-10-30 |