| NPI | 1023397221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 15996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD465693) |
| 208M00000X Hospitalist (Licence: PA MD465693) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2019-11-06 |