| NPI | 1801374210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD481233) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 311189) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-07-12 |