| NPI | 1275064883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS19580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS020623) |
| 208M00000X Hospitalist (Licence: PA OS020623) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-08-01 |