| NPI | 1487038105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD483340) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2022036667) |
| 207R00000X Internal Medicine (Licence: MO 2022036667) | |
| 207R00000X Internal Medicine (Licence: NY 294503) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2026-01-29 |