| NPI | 1710032099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D69086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A89597) |
| 207R00000X Internal Medicine (Licence: MD D69086) | |
| 207R00000X Internal Medicine (Licence: PA MD431358) | |
| 207R00000X Internal Medicine (Licence: VA 0101246895) | |
| 207R00000X Internal Medicine (Licence: MI 4301114291) | |
| 208000000X Pediatrics (Licence: CA A89597) | |
| 208M00000X Hospitalist (Licence: PA MD431358) | |
| 208M00000X Hospitalist (Licence: VA 0101246895) | |
| 208M00000X Hospitalist (Licence: MI 4301114291) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-03-24 |