| NPI | 1376789586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD437622) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: PA MD437622) |
| 208M00000X Hospitalist (Licence: PA MD437622) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2020-02-06 |