| NPI | 1891988226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD442241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me99710) |
| 207R00000X Internal Medicine (Licence: PA MD442241) | |
| 208M00000X Hospitalist (Licence: NY 245676) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2018-03-23 |