| NPI | 1629445721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD462604) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 27878) |
| 208M00000X Hospitalist (Licence: NY 292705) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2024-04-26 |