| NPI | 1669804175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD458315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458315) |
| 207R00000X Internal Medicine (Licence: PA MT203144) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2025-04-28 |