| NPI | 1316177124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD418384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235939-1) |
| 207R00000X Internal Medicine (Licence: PA MD418384) | |
| 207R00000X Internal Medicine (Licence: DE C1-0006784) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA07537200) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2021-05-12 |