| NPI | 1255590899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 56025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT193489) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2023-08-10 |