| NPI | 1407004708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD449832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449832) |
| 207R00000X Internal Medicine (Licence: IN 01069508A) | |
| 208M00000X Hospitalist (Licence: PA MD449832) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2021-01-16 |