| NPI | 1952748717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS017876) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS017876) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2016-08-16 |