| NPI | 1386985166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD463742) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D78955) |
| 207R00000X Internal Medicine (Licence: PA MD463742) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2021-06-08 |