| NPI | 1093978660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 32325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 062419) |
| 207R00000X Internal Medicine (Licence: PA MD434769) | |
| 207R00000X Internal Medicine (Licence: SC 32325) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-07-08 |