| NPI | 1174814362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 274663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452637) |
| 208M00000X Hospitalist (Licence: PA MD452637) | |
| 207R00000X Internal Medicine (Licence: NY 274663) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2016-12-09 |