| NPI | 1225201635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD443318) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD443318) |
| 208M00000X Hospitalist (Licence: PA MD443318) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2019-06-25 |