| NPI | 1013983642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD424754) |
| 208M00000X Hospitalist (Licence: PA MD424754) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-12-20 |