| NPI | 1508893447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 265962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD056897L) |
| 207R00000X Internal Medicine (Licence: MA 265962) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-06-26 |