| NPI | 1427305440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD455572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201613) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2021-02-11 |