| NPI | 1760837827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD469438) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA MD469438) |
| 207R00000X Internal Medicine (Licence: PA MT212008) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2025-10-27 |