| NPI | 1225023765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD420108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA BV7875214) |
| 208M00000X Hospitalist (Licence: MD D81367) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2022-03-24 |