| NPI | 1326246349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD448887) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD448887) |
| 207R00000X Internal Medicine (Licence: VA 0101240780) | |
| 207R00000X Internal Medicine (Licence: MD D0066101) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2024-09-13 |