NPI | 1073042230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD480776) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD480776) |
207RA0000X Internal Medicine, Adolescent Medicine (Licence: WV 29928) | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2024-09-17 |