| NPI | 1225243967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 40777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT184331) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: AZ 40777) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MN 50052) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-10-31 |