| NPI | 1174059000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD477385) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.139223) |
| 207R00000X Internal Medicine (Licence: PA MT212817) | |
| 207R00000X Internal Medicine (Licence: PA MD477385) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-08-08 |