| NPI | 1659594018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD431237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD431237) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-05-01 |