| NPI | 1710328505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101271342) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD465514) |
| 207R00000X Internal Medicine (Licence: PA MD465514) | |
| 207R00000X Internal Medicine (Licence: IA 43562) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2023-08-24 |