| NPI | 1932382272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD441239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 43891) |
| 207R00000X Internal Medicine (Licence: PA MT191745) | |
| 207R00000X Internal Medicine (Licence: PA MD441239) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2019-11-06 |