| NPI | 1881699957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 81661) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 23454) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD065996L) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-06-02 |