| NPI | 1043586472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS021545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS021545) |
| 207R00000X Internal Medicine (Licence: IN 02005362A) | |
| 208M00000X Hospitalist (Licence: IN 02005362A) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2025-02-28 |