| NPI | 1730404591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD461140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01071297A) |
| 208M00000X Hospitalist (Licence: PA MD461140) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2020-06-17 |