| NPI | 1952741423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD462458) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT203547) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2024-12-11 |