| NPI | 1033504030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD467856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018023690) |
| 208M00000X Hospitalist (Licence: MO 2018023690) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-09-15 |