| NPI | 1083633317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD435609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0061886) |
| 208M00000X Hospitalist (Licence: PA MD435609) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-03-17 |