| NPI | 1104947662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD471232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 37739) |
| 207R00000X Internal Medicine (Licence: DC MD036500) | |
| 207R00000X Internal Medicine (Licence: MD D0065591) | |
| 207R00000X Internal Medicine (Licence: MI 4301502925) | |
| 208M00000X Hospitalist (Licence: MI 4301502925) | |
| 208M00000X Hospitalist (Licence: NY 237649) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-09-02 |