| NPI | 1093155483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 75089) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD458440) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2023-06-13 |