| NPI | 1770903031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 97239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD462051) |
| 208M00000X Hospitalist (Licence: GA 97239) | |
| 208M00000X Hospitalist (Licence: PA MD462051) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2024-08-20 |