| NPI | 1043669534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA PA019784) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS019784) |
| 207P00000X Emergency Medicine (Licence: PA OT017120) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-09-09 |