| NPI | 1508017906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 322363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09023500) |
| 207R00000X Internal Medicine (Licence: GA 074343) | |
| 207R00000X Internal Medicine (Licence: PA MD444892) | |
| 208M00000X Hospitalist (Licence: GA 074343) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2021-06-15 |