| NPI | 1750622924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0013140) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD458751) |
| 207R00000X Internal Medicine (Licence: PA MD458751) | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2022-05-03 |