| NPI | 1578604690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME162676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502046) |
| 207R00000X Internal Medicine (Licence: IL 036141765) | |
| 207R00000X Internal Medicine (Licence: CA a54697) | |
| 208M00000X Hospitalist (Licence: MO 2019034404) | |
| 208M00000X Hospitalist (Licence: IN 01084442A) | |
| 208M00000X Hospitalist (Licence: VA 0101269836) | |
| 208M00000X Hospitalist (Licence: IL 036141765) | |
| 208M00000X Hospitalist (Licence: CA A54697) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-11-14 |