| NPI | 1982833133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.139316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C178935) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C178935) | |
| 208M00000X Hospitalist (Licence: NH 15612) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD19886) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD19886) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA C178935) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: RI MD19886) | |
| 207R00000X Internal Medicine (Licence: RI MD19886) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C178935) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2026-10-06 |