| NPI | 1083334569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 338318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 338318) |
| 207R00000X Internal Medicine (Licence: PA MT226270) | |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2025-08-08 |