| NPI | 1851594188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-7096) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD442878) |
| 208000000X Pediatrics (Licence: PA MT191394) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2026-08-17 |