| NPI | 1629488804 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME160636) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME160636) | 
| 207R00000X Internal Medicine (Licence: PA MD461307) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10190600) | |
| 208M00000X Hospitalist (Licence: PA MD461307) | |
| Enumeration Date | 2014-04-28 | 
| Last Update Date | 2025-07-08 |