| NPI | 1184919847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD462744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 261427) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2018-01-16 |