| NPI | 1861699696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD442000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0070131) |
| 208M00000X Hospitalist (Licence: PA FJ6230419) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2023-06-05 |