| NPI | 1629225099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 62213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443485) |
| 207R00000X Internal Medicine (Licence: PA mt191967) | |
| 208M00000X Hospitalist (Licence: WI 62213) | |
| 208M00000X Hospitalist (Licence: PA MD443485) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2023-03-16 |