| NPI | 1346626991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD483603) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101264598) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2024-02-29 |