| NPI | 1437360542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101243291) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101243291) |
| 207R00000X Internal Medicine (Licence: PA MT-187294) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-12-10 |