| NPI | 1750025144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD489701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT225556) |
| 208M00000X Hospitalist (Licence: PA MD489701) | |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2025-09-15 |