| NPI | 1053542639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194223) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2014-10-27 |