| NPI | 1356727804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 84105) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD464822) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2024-08-28 |