| NPI | 1326354465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502340) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 61524) |
| 207R00000X Internal Medicine (Licence: CT 61524) | |
| 207R00000X Internal Medicine (Licence: PA MD448993) | |
| 207R00000X Internal Medicine (Licence: LA 320013) | |
| 208M00000X Hospitalist (Licence: PA MD448993) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2021-01-22 |