| NPI | 1376780171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD437760) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD437760) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2021-01-02 |