| NPI | 1821403338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD461426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD461426) |
| 207R00000X Internal Medicine (Licence: PA MT207427) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-04-22 |