| NPI | 1033605787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D91637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214834) |
| 207R00000X Internal Medicine (Licence: MD D91637) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2021-07-15 |