| NPI | 1275727604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C1-0012652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0012652) |
| 207R00000X Internal Medicine (Licence: FL ME 107024) | |
| 208M00000X Hospitalist (Licence: PA MD449240) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2018-08-01 |