| NPI | 1316502164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT217505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01088525A) |
| 208M00000X Hospitalist (Licence: IN 01088525A) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-11-01 |