| NPI | 1770940843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD469618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 285374) |
| 207R00000X Internal Medicine (Licence: PA MD469618) | |
| 208M00000X Hospitalist (Licence: NY 285374) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2024-04-26 |