| NPI | 1689669269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD072903L) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD072903L) |
| 208M00000X Hospitalist (Licence: OR MD166845) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-01-30 |