| NPI | 1720491335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 95267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101259630) |
| 207R00000X Internal Medicine (Licence: NY 289330) | |
| 207R00000X Internal Medicine (Licence: NC 2022-02654) | |
| 207R00000X Internal Medicine (Licence: GA 95267) | |
| 208M00000X Hospitalist (Licence: NY 289330) | |
| 208M00000X Hospitalist (Licence: NC 2022-02654) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-05-16 |