| NPI | 1639302755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD446189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 129027) |
| 208M00000X Hospitalist (Licence: PA MD446189) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2021-12-27 |