| NPI | 1578724746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 51987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD453213) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08958100) | |
| 208M00000X Hospitalist (Licence: KY 51987) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-11-06 |