| NPI | 1629209309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD446578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194148) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2019-11-05 |