| NPI | 1700260981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD471728) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 295177) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2020-09-25 |