NPI | 1003194515 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD452148) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452148) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2025-09-30 |