| NPI | 1215019468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD463436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 221810) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-11-05 |