| NPI | 1699898858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD459381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME80377) |
| 207R00000X Internal Medicine (Licence: NY 215558) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-11-21 |