| NPI | 1699969345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD441110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME99711) |
| 207R00000X Internal Medicine (Licence: PA MD441110) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2020-12-08 |