| NPI | 1396024055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2016-01504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198520) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2023-08-08 |