| NPI | 1528580628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD471460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0104143) |
| 207R00000X Internal Medicine (Licence: DE C1-0028405) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2025-09-17 |