| NPI | 1821324831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 57104-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-44281) |
| 207R00000X Internal Medicine (Licence: MO 2018001355) | |
| 208M00000X Hospitalist (Licence: IA MD-44281) | |
| 208M00000X Hospitalist (Licence: PA MD471673) | |
| 208M00000X Hospitalist (Licence: WI 57104) | |
| 208M00000X Hospitalist (Licence: MO 2018001355) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2024-06-14 |