| NPI | 1285948943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C179542) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DC MD044799) |
| 208M00000X Hospitalist (Licence: CA C179542) | |
| 208M00000X Hospitalist (Licence: PA MD451998) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208D00000X General Practice (Licence: VA 0101261901) | |
| 208D00000X General Practice (Licence: NY 277030) | |
| 207R00000X Internal Medicine (Licence: CA C179542) | |
| 208D00000X General Practice (Licence: CA C179542) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2024-06-12 |