| NPI | 1841672672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 296482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD047343) |
| 207R00000X Internal Medicine (Licence: MD D87401) | |
| 207R00000X Internal Medicine (Licence: MA 274404) | |
| 207R00000X Internal Medicine (Licence: VA 0101267224) | |
| 207R00000X Internal Medicine (Licence: IL 036.149811) | |
| 207R00000X Internal Medicine (Licence: CA A161314) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2023-08-01 |