| NPI | 1962818963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD461579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT206994) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2020-08-26 |