| NPI | 1780842021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD437679) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437679) |
| 208M00000X Hospitalist (Licence: MD D69737) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2020-02-05 |