| NPI | 1144632688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD491787C) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD491787C) |
| 207R00000X Internal Medicine (Licence: MD D96251) | |
| 207R00000X Internal Medicine (Licence: NC 2018-02304) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2025-11-25 |