| NPI | 1285047092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 294053) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD464230) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-11-21 |