| NPI | 1093845059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD436102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 060417) |
| 207R00000X Internal Medicine (Licence: MD D0066985) | |
| 207R00000X Internal Medicine (Licence: WV 23007) | |
| 207R00000X Internal Medicine (Licence: NH 13789) | |
| 208M00000X Hospitalist (Licence: PA MD436102) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-02-10 |