| NPI | 1003194515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD452148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452148) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2025-09-30 |