| NPI | 1164610820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD456258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD23698) |
| 207R00000X Internal Medicine (Licence: WI 50884-020) | |
| 208M00000X Hospitalist (Licence: NY 255819) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2025-06-17 |