| NPI | 1821301367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD213137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.120524) |
| 207R00000X Internal Medicine (Licence: MO 2019008706) | |
| 207R00000X Internal Medicine (Licence: SC 86614) | |
| 207R00000X Internal Medicine (Licence: MN 71052) | |
| 208M00000X Hospitalist (Licence: IN 01083185A) | |
| 207R00000X Internal Medicine (Licence: WI 1716) | |
| 207R00000X Internal Medicine (Licence: FL ME134046) | |
| 207R00000X Internal Medicine (Licence: IN 01083185A) | |
| 207R00000X Internal Medicine (Licence: WY 18911C) | |
| 207R00000X Internal Medicine (Licence: CO CDR.0003676) | |
| 208M00000X Hospitalist (Licence: WI 1716) | |
| 207R00000X Internal Medicine (Licence: NV 18184) | |
| 207R00000X Internal Medicine (Licence: NM MD2022-0340) | |
| 207R00000X Internal Medicine (Licence: WA MD61465449) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2025-11-25 |