| NPI | 1881983682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD460837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 269484) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-07-21 |