| NPI | 1962685206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0077779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD435153) |
| 208M00000X Hospitalist (Licence: PA MD435153) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2023-02-21 |