| NPI | 1235410317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD456765) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 276211) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2020-08-31 |