| NPI | 1841553542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 51598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455279) |
| 207R00000X Internal Medicine (Licence: KY 51598) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2018-06-28 |