| NPI | 1457734923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD464227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT208073) |
| 207R00000X Internal Medicine (Licence: PA MD464227) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2021-07-23 |