| NPI | 1649666223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD461715) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD461715) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2018-08-29 |