| NPI | 1669816484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD464603) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C7-0005392) |
| 207P00000X Emergency Medicine (Licence: PA MD464603) | |
| 207R00000X Internal Medicine (Licence: DE C7-0005392) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2024-09-12 |