| NPI | 1609873413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0026043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD061903L) |
| 208M00000X Hospitalist (Licence: PA MD061903L) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-10-09 |