| NPI | 1285618421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U3283) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD035344E) |
| 207R00000X Internal Medicine (Licence: PA MD035344E) | |
| 207R00000X Internal Medicine (Licence: NC 2006-01851) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2024-08-06 |