| NPI | 1346464849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2017040910) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017040910) |
| 208M00000X Hospitalist (Licence: PA MD430486) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-02-04 |