| NPI | 1922413285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 21067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 007186) |
| 207R00000X Internal Medicine (Licence: FL UO4685) | |
| 208M00000X Hospitalist (Licence: WA OP61254798) | |
| 208M00000X Hospitalist (Licence: AZ 007186) | |
| 208M00000X Hospitalist (Licence: ME DO3382) | |
| 208M00000X Hospitalist (Licence: CA 21067) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-09-24 |