| NPI | 1225515364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD483964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311628) |
| 208M00000X Hospitalist (Licence: NY 311628) | |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2024-03-13 |