| NPI | 1497916415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME134766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2011-01123) |
| 207R00000X Internal Medicine (Licence: OH 35.142876) | |
| 207R00000X Internal Medicine (Licence: VA 0101267602) | |
| 207R00000X Internal Medicine (Licence: MO 2019022880) | |
| 207R00000X Internal Medicine (Licence: GA 116775) | |
| 207R00000X Internal Medicine (Licence: MI 4301119335) | |
| 207R00000X Internal Medicine (Licence: MS 28946) | |
| 208M00000X Hospitalist (Licence: NC 2011-01123) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-07-25 |