| NPI | 1659760833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-46321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021036986) |
| 207R00000X Internal Medicine (Licence: SC 51377) | |
| 207R00000X Internal Medicine (Licence: NV 19526) | |
| 207R00000X Internal Medicine (Licence: IL 036154980) | |
| 207R00000X Internal Medicine (Licence: FL ME163421) | |
| 208M00000X Hospitalist (Licence: IL 036154980) | |
| 208M00000X Hospitalist (Licence: MO 2021036986) | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2024-03-14 |