| NPI | 1760752521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD462312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D73628) |
| 208M00000X Hospitalist (Licence: CT 54119) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2022-07-21 |