| NPI | 1639372360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A24335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT011861) |
| 207R00000X Internal Medicine (Licence: CA 20A24335) | |
| 207R00000X Internal Medicine (Licence: PA OS014149) | |
| 207R00000X Internal Medicine (Licence: OH 34.015407) | |
| 208M00000X Hospitalist (Licence: PA OS014149) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2025-11-07 |