| NPI | 1477843449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 66660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 71184) |
| 207R00000X Internal Medicine (Licence: TX Q5058) | |
| 207R00000X Internal Medicine (Licence: IN 99109987A) | |
| 207R00000X Internal Medicine (Licence: IN 01087425A) | |
| 208M00000X Hospitalist (Licence: TX Q5058) | |
| 208M00000X Hospitalist (Licence: SC 90832) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-07-15 |