| NPI | 1528283355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 061529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117115) |
| 207R00000X Internal Medicine (Licence: OR MD207142) | |
| 207R00000X Internal Medicine (Licence: WA MD61206528) | |
| 207R00000X Internal Medicine (Licence: AL 43438) | |
| 208M00000X Hospitalist (Licence: FL ME117115) | |
| 207R00000X Internal Medicine (Licence: CA C161879) | |
| 207R00000X Internal Medicine (Licence: TN 42136) | |
| 207R00000X Internal Medicine (Licence: NC 2019-01087) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-11-14 |