| NPI | 1912137472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD446126) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD446126) |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2021-01-25 |