| NPI | 1649653700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-01730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.143994) |
| 208M00000X Hospitalist (Licence: NC 2018-01730) | |
| 208M00000X Hospitalist (Licence: CA A175521) | |
| 208M00000X Hospitalist (Licence: NY 302492) | |
| 207R00000X Internal Medicine (Licence: CA A175521) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-03-02 |