| NPI | 1629034020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 223291) |
| 208M00000X Hospitalist (Licence: NC 2010-00411) | |
| 208M00000X Hospitalist (Licence: GA 066870) | |
| 208M00000X Hospitalist (Licence: AR E-8804) | |
| 208M00000X Hospitalist (Licence: OH 011386) | |
| 208M00000X Hospitalist (Licence: IN 02004518A) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2017-02-16 |