| NPI | 1487815387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-01926) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME118308) |
| 208M00000X Hospitalist (Licence: CO DR.0061926) | |
| 208M00000X Hospitalist (Licence: WY TL5600) | |
| 208M00000X Hospitalist (Licence: DC MD047022) | |
| 208M00000X Hospitalist (Licence: TX S0695) | |
| 208M00000X Hospitalist (Licence: SD 8986) | |
| 208M00000X Hospitalist (Licence: RI MD16621) | |
| 208M00000X Hospitalist (Licence: OR MD192450) | |
| 208M00000X Hospitalist (Licence: OK 34461) | |
| 208M00000X Hospitalist (Licence: NM MD2011-0261) | |
| 208M00000X Hospitalist (Licence: MN 57241) | |
| 208M00000X Hospitalist (Licence: MI 4301117090) | |
| 208M00000X Hospitalist (Licence: IN 01071167A) | |
| 208M00000X Hospitalist (Licence: IL 36129919) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2021-03-03 |