| NPI | 1639274038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.072920M) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024005376) |
| 207R00000X Internal Medicine (Licence: TX T4973) | |
| 207R00000X Internal Medicine (Licence: FL ME135828) | |
| 207R00000X Internal Medicine (Licence: NC 2024-00239) | |
| 208M00000X Hospitalist (Licence: OH 35.072920) | |
| 208M00000X Hospitalist (Licence: TX T4973) | |
| 208M00000X Hospitalist (Licence: FL ME135828) | |
| 208M00000X Hospitalist (Licence: MO 2024005376) | |
| 208M00000X Hospitalist (Licence: NC 2024-00239) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-11-12 |