| NPI | 1659533628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD468651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237128) |
| 208M00000X Hospitalist (Licence: MA 237128) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-10-11 |