| NPI | 1215275920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD449375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 268254) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2018-10-26 |