| NPI | 1528369782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35137393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013023192) |
| 207R00000X Internal Medicine (Licence: AL MD.41227) | |
| 207R00000X Internal Medicine (Licence: MI 4301500243) | |
| 207R00000X Internal Medicine (Licence: NH 20689) | |
| 207R00000X Internal Medicine (Licence: WA MD61068549) | |
| 208M00000X Hospitalist (Licence: IL 036131105) | |
| 208M00000X Hospitalist (Licence: MO 2013023192) | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2022-08-31 |