| NPI | 1114233038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 29190) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD440798) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2023-07-28 |