| NPI | 1871941351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD H0092306) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS019981) |
| 208M00000X Hospitalist (Licence: DC DO034917) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-03-26 |