| NPI | 1346415171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME155421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT187737) |
| 208M00000X Hospitalist (Licence: PA MD438226) | |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2022-04-22 |