| NPI | 1558970129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS022875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 23078) |
| 207R00000X Internal Medicine (Licence: MO 2024003010) | |
| 207R00000X Internal Medicine (Licence: FL OS19922) | |
| 207R00000X Internal Medicine (Licence: NY 331039) | |
| 207R00000X Internal Medicine (Licence: LA 341033-) | |
| 207R00000X Internal Medicine (Licence: TN 5129) | |
| 208D00000X General Practice (Licence: CO DR.0070085) | |
| 208D00000X General Practice (Licence: AR E-16306) | |
| 208M00000X Hospitalist (Licence: PA OS022875) | |
| 207R00000X Internal Medicine (Licence: AZ 010039) | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2024-08-23 |