| NPI | 1821054362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD448185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 13520) |
| 207R00000X Internal Medicine (Licence: MA 215541) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: MA 215541) | |
| 208M00000X Hospitalist (Licence: NH 13520) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-06-18 |