| NPI | 1518541721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 99748) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 99748) |
| 207R00000X Internal Medicine (Licence: PA MT220118) | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2024-07-17 |