| NPI | 1396150371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101263471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D86138) |
| 207R00000X Internal Medicine (Licence: PA MD462883) | |
| 207R00000X Internal Medicine (Licence: AZ 60208) | |
| 207R00000X Internal Medicine (Licence: IL 036.151404) | |
| 208M00000X Hospitalist (Licence: MO 2017036838) | |
| 208M00000X Hospitalist (Licence: MD D86138) | |
| 208M00000X Hospitalist (Licence: NJ 25MA09968300) | |
| 207R00000X Internal Medicine (Licence: PA MT207604) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-01-12 |