| NPI | 1710194352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD021204E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 7258) |
| 208M00000X Hospitalist (Licence: ND 7258) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2017-11-01 |