| NPI | 1235663881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD472732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 66948) |
| 207R00000X Internal Medicine (Licence: PA TMD005234) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2024-03-02 |