| NPI | 1871726745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS015938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013147) |
| 208M00000X Hospitalist (Licence: PA OS015938) | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2021-01-16 |