| NPI | 1063455798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 189557) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS018559) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-11-04 |