| NPI | 1558355446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD462472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD462472) |
| 207R00000X Internal Medicine (Licence: MI 4301057371) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-11-06 |