| NPI | 1922390285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS016350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT014347) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2018-08-13 |