| NPI | 1891171336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD464932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464932) |
| 207R00000X Internal Medicine (Licence: PA MT209404) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2023-11-17 |