| NPI | 1992990162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD457115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2007-01312) |
| 207R00000X Internal Medicine (Licence: PA MD457115) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2024-02-07 |