| NPI | 1588921316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD452502) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD452502) |
| 208M00000X Hospitalist (Licence: DE C10010803) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2015-09-14 |