| NPI | 1629428859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: PA MT221320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD471156) |
| 207R00000X Internal Medicine (Licence: MO 2019020093) | |
| 208M00000X Hospitalist (Licence: MO 2019020093) | |
| 208M00000X Hospitalist (Licence: PA MD471156) | |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2020-07-10 |