| NPI | 1053594259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 32412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190536) |
| 207R00000X Internal Medicine (Licence: SC 32412) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2023-03-07 |