| NPI | 1992048334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD20915) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 53559) |
| 207Q00000X Family Medicine (Licence: MS 36891) | |
| 207Q00000X Family Medicine (Licence: FL ME180136) | |
| 207Q00000X Family Medicine (Licence: TN 77265) | |
| 208M00000X Hospitalist (Licence: ME MD20915) | |
| 207Q00000X Family Medicine (Licence: PA MD494383) | |
| 207Q00000X Family Medicine (Licence: IL 036.179255) | |
| 207Q00000X Family Medicine (Licence: WA MD.70108289) | |
| 207Q00000X Family Medicine (Licence: AZ 80325) | |
| 207Q00000X Family Medicine (Licence: IA MD-56722) | |
| 207Q00000X Family Medicine (Licence: UT 14276896-1235) | |
| 207Q00000X Family Medicine (Licence: NE CP2071) | |
| 207Q00000X Family Medicine (Licence: LA 350999) | |
| 207Q00000X Family Medicine (Licence: OK 47719) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2026-03-17 |