| NPI | 1891989075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 31567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432624) |
| 208M00000X Hospitalist (Licence: PA MD432624) | |
| 207R00000X Internal Medicine (Licence: SC 31567) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2010-09-24 |