| NPI | 1871904862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD461260) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2021024980) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-10-14 |