| NPI | 1649372319 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD418543)  | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD418543)  | 
| 207R00000X Internal Medicine (Licence: PA MD 418543)  | |
| Enumeration Date | 2006-09-02 | 
| Last Update Date | 2024-02-07 |