| NPI | 1821384405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD464816) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT200421) |
| 208M00000X Hospitalist (Licence: NM MD2015-0301) | |
| 208M00000X Hospitalist (Licence: OH 124194) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2018-07-16 |