| NPI | 1790951895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD457623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457623) |
| 207R00000X Internal Medicine (Licence: MD D0078120) | |
| 208M00000X Hospitalist (Licence: MD D0078120) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-10-23 |