| NPI | 1538199781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 31102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004010178) |
| 207R00000X Internal Medicine (Licence: NM MD-2019-0845) | |
| 207R00000X Internal Medicine (Licence: GA 87369) | |
| 207R00000X Internal Medicine (Licence: FL ME100334) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-02-16 |