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 |