| NPI | 1952546038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA 437681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437681) |
| 208M00000X Hospitalist (Licence: PA MD437681) | |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2021-03-05 |