| NPI | 1538447628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD d77964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.39315) |
| 207R00000X Internal Medicine (Licence: FL ME144129) | |
| 207R00000X Internal Medicine (Licence: IL 036.153848) | |
| 207R00000X Internal Medicine (Licence: KY C0286) | |
| 207R00000X Internal Medicine (Licence: ME MD36013) | |
| 207R00000X Internal Medicine (Licence: MI EMC0001910) | |
| 207R00000X Internal Medicine (Licence: NH 20374) | |
| 207R00000X Internal Medicine (Licence: OK 39549) | |
| 207R00000X Internal Medicine (Licence: PA MD470693) | |
| 207R00000X Internal Medicine (Licence: TN 61333) | |
| 207R00000X Internal Medicine (Licence: VT 042.0016084-COMP) | |
| 207R00000X Internal Medicine (Licence: WI 747-320) | |
| 207R00000X Internal Medicine (Licence: WV 30712) | |
| 208M00000X Hospitalist (Licence: MD D77964) | |
| Enumeration Date | 2011-07-24 |
| Last Update Date | 2022-08-31 |