| NPI | 1669605416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD440482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101273704) |
| 207R00000X Internal Medicine (Licence: PA MD440482) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2026-04-17 |