| NPI | 1659463131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 045182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD073854L) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-02-06 |