| NPI | 1669467957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD433094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME85720) |
| 208M00000X Hospitalist (Licence: FL ME85720) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2019-08-15 |