| NPI | 1871521070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME129962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 86910) |
| 207R00000X Internal Medicine (Licence: VA 0101054256) | |
| 207R00000X Internal Medicine (Licence: KY C0766) | |
| 207R00000X Internal Medicine (Licence: FL ME129962) | |
| 208M00000X Hospitalist (Licence: IL 036163321) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-02-08 |