| NPI | 1750797262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01078460A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 85653) |
| 207R00000X Internal Medicine (Licence: IA MD-48355) | |
| 207R00000X Internal Medicine (Licence: LA 325169) | |
| 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-87561) | |
| 207R00000X Internal Medicine (Licence: MI 4301105372) | |
| 207R00000X Internal Medicine (Licence: TX T9671) | |
| 207R00000X Internal Medicine (Licence: WA MD61262287) | |
| 207R00000X Internal Medicine (Licence: IN 01078460A) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35134230) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2023-06-05 |