| NPI | 1881048445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME136793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2023-1381) |
| 208M00000X Hospitalist (Licence: IL 036167021) | |
| 207R00000X Internal Medicine (Licence: AZ 60880) | |
| 207R00000X Internal Medicine (Licence: NC 2020-04753) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2026-04-14 |