| NPI | 1629488804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD461307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD461307) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME160636) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10190600) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-10-30 |