| NPI | 1043509516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS016573) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS016573) |
| 207Q00000X Family Medicine (Licence: IN 02005268A) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2024-03-01 |