| NPI | 1932322054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C1-0008511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90618) |
| 208D00000X General Practice (Licence: CA A90618) | |
| 208M00000X Hospitalist (Licence: CA A90618) | |
| 207R00000X Internal Medicine (Licence: DE C1-0008511) | |
| 208D00000X General Practice (Licence: DE C1-0008511) | |
| 207R00000X Internal Medicine (Licence: PA MD431522) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-10-05 |