| NPI | 1750574471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 071387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101251149) |
| 207R00000X Internal Medicine (Licence: PA MT189804) | |
| 208M00000X Hospitalist (Licence: PA MD440345) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2018-03-07 |