| NPI | 1801092051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD432055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432055) |
| 207R00000X Internal Medicine (Licence: DE C1-0010189) | |
| 208M00000X Hospitalist (Licence: DE C1-0010189) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-03-16 |