| NPI | 1730667130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101283870) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD475307) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2026-06-26 |