| NPI | 1164690863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA md440885) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 02219) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2024-03-29 |