| NPI | 1669907242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-48097) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD477147) |
| 207R00000X Internal Medicine (Licence: IA MD-48097) | |
| 207R00000X Internal Medicine (Licence: MO 2020019628) | |
| 207R00000X Internal Medicine (Licence: PA MD477147) | |
| 207R00000X Internal Medicine (Licence: CA A193655) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-04-18 |