| NPI | 1427320175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 109329) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD452333) |
| 208M00000X Hospitalist (Licence: GA 109329) | |
| 207R00000X Internal Medicine (Licence: PA MD452333) | |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2025-12-09 |