| NPI | 1518270065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD457117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457117) |
| 207R00000X Internal Medicine (Licence: OK 29674) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2020-10-05 |