| NPI | 1700446051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD477630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD477630) |
| 207R00000X Internal Medicine (Licence: PA MT218317) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2022-07-29 |