| NPI | 1982840336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2018014980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD468189) |
| 207R00000X Internal Medicine (Licence: FL ME124919) | |
| 207R00000X Internal Medicine (Licence: MA 249833) | |
| 207R00000X Internal Medicine (Licence: IN 01080371A) | |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2024-05-28 |