| NPI | 1013255421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD456535) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101253539) |
| 208M00000X Hospitalist (Licence: VA 0101253539) | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2022-10-05 |