| NPI | 1780028993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME164186) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 330155) |
| 207R00000X Internal Medicine (Licence: IL 036142947) | |
| 208M00000X Hospitalist (Licence: IL 036142947) | |
| 208M00000X Hospitalist (Licence: CA A140709) | |
| 208M00000X Hospitalist (Licence: IN 01085989A) | |
| 208M00000X Hospitalist (Licence: VA 0101270094) | |
| 207R00000X Internal Medicine (Licence: VA 0101270094) | |
| 207R00000X Internal Medicine (Licence: MI 4301502654) | |
| 207R00000X Internal Medicine (Licence: CA A140709) | |
| 208M00000X Hospitalist (Licence: MO 2019042416) | |
| 208M00000X Hospitalist (Licence: MI 4301502654) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2024-05-23 |