| NPI | 1518908987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0030263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD040791E) |
| 208M00000X Hospitalist (Licence: PA MD040791E) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2022-07-21 |