| NPI | 1871904573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0086455) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD469620) |
| 208M00000X Hospitalist (Licence: MI 4301116370) | |
| 208M00000X Hospitalist (Licence: PA MD469620) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2023-02-21 |