| NPI | 1386641249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD 420995) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 6405008-1205) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2022-03-15 |