| NPI | 1922261387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-40636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 40636) |
| 207R00000X Internal Medicine (Licence: PA MD437522) | |
| 207R00000X Internal Medicine (Licence: TX U2890) | |
| 207R00000X Internal Medicine (Licence: RI MD19650) | |
| 208M00000X Hospitalist (Licence: RI MD19650) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2024-02-05 |