| NPI | 1558656264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH oh.139640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN md0000051499) |
| 207R00000X Internal Medicine (Licence: LA 324244) | |
| 207R00000X Internal Medicine (Licence: FL ME132412) | |
| 207R00000X Internal Medicine (Licence: OH 35.139640) | |
| 208M00000X Hospitalist (Licence: FL ME132412) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2023-03-16 |