| NPI | 1528557261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1015170) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD472075) |
| 208M00000X Hospitalist (Licence: PA MD472075) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-08-05 |