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 |