| NPI | 1194389056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD477887) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD477887) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2023-04-06 |