| NPI | 1124218565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD432165) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD432165) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2019-01-31 |