| NPI | 1205142163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD440985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440985) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2025-11-20 |