| NPI | 1649279761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME152295) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD072566L) |
| 208M00000X Hospitalist (Licence: PA MD072566L) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2021-08-20 |