| NPI | 1003361205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD468100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212033) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2021-02-11 |