| NPI | 1891744801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD432328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432328) |
| 207R00000X Internal Medicine (Licence: CT 049434) | |
| 208M00000X Hospitalist (Licence: MD D0062903) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-07-21 |