| NPI | 1700310794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD470544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD470544) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2020-07-06 |