| NPI | 1780887752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD436677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188534) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-03-06 |