| NPI | 1750822094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX R9447) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL MD.48055) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 72555) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.168294) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35C.001260) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO CDR.0003652) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD484882) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2024-00918) | |
| 208M00000X Hospitalist (Licence: TX R9447) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-05-08 |