| NPI | 1144528654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME139266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD453707) |
| 208M00000X Hospitalist (Licence: NY 270356) | |
| 208M00000X Hospitalist (Licence: PA md453707) | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2021-10-04 |