| NPI | 1831401397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D81828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449348) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD449348) | |
| 208M00000X Hospitalist (Licence: PA MD449348) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2017-09-18 |