| NPI | 1760772875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD462434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-42595) |
| 207R00000X Internal Medicine (Licence: PA MD462434) | |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2020-04-09 |