| NPI | 1154404846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD480190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104270) |
| 208M00000X Hospitalist (Licence: GA 051730) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2026-02-16 |