| NPI | 1861874612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 93993) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD464568) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2023-07-13 |