| NPI | 1033472899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 59376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457504) |
| 207R00000X Internal Medicine (Licence: TN 59376) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2022-03-21 |