| NPI | 1508822081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD449704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 210584) |
| 208M00000X Hospitalist (Licence: MA 210584) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-02-11 |