| NPI | 1699304428 |
|---|---|
| Former Name | COREY ALEXANDER SMITH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101279649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116034549) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2024-04-17 |