| NPI | 1629316914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD455308) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD455308) |
| 208M00000X Hospitalist (Licence: NY 284502) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2024-03-02 |