| NPI | 1609027333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01074293A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD437715) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2022-10-03 |