| NPI | 1245925148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD493551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116037575) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2026-06-23 |