| NPI | 1942664529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD477040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 62545) |
| 208M00000X Hospitalist (Licence: MN 62545) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-07-19 |