| NPI | 1306031208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD423087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md423087) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA md423087) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2019-05-01 |