| NPI | 1386945673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD468799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256721) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2020-04-16 |