| NPI | 1578757803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD436530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.089425) |
| 207R00000X Internal Medicine (Licence: PA MD436530) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2018-03-27 |