| NPI | 1396232575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS022145) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 69059) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2022-07-08 |