| NPI | 1972732766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60688545) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD446370) |
| 207R00000X Internal Medicine (Licence: PA MD446370) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2018-06-28 |