| NPI | 1891954731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD439910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0011607) |
| 208M00000X Hospitalist (Licence: PA MD439910) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2019-12-05 |