| NPI | 1558893651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD480724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 306595) |
| 207R00000X Internal Medicine (Licence: PA MD480724) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-02-06 |