| NPI | 1316122682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 36464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437339) |
| 207R00000X Internal Medicine (Licence: SC 36464) | |
| 208M00000X Hospitalist (Licence: PA MD437339) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2023-09-07 |