| NPI | 1023452828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C1-0011923) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD459919) |
| 207Q00000X Family Medicine (Licence: DE C1-0011923) | |
| 207Q00000X Family Medicine (Licence: VT 042.0013498) | |
| 207R00000X Internal Medicine (Licence: DE C1-0011923) | |
| 208M00000X Hospitalist (Licence: VT 042.0013498) | |
| 208M00000X Hospitalist (Licence: PA MD459919) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2019-09-24 |