| NPI | 1144884040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME156000) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD493032C) |
| 207R00000X Internal Medicine (Licence: PA MD493032C) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2025-12-09 |