| NPI | 1912285446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2017027303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 23146) |
| 207R00000X Internal Medicine (Licence: AL MD.32419) | |
| 207R00000X Internal Medicine (Licence: WV WV-SE-1846) | |
| 207R00000X Internal Medicine (Licence: AZ 65734) | |
| 207R00000X Internal Medicine (Licence: LA 321099) | |
| 208M00000X Hospitalist (Licence: GA 79603) | |
| 208M00000X Hospitalist (Licence: LA 321099) | |
| 208M00000X Hospitalist (Licence: AZ 65734) | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2024-06-17 |