| NPI | 1811201882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD474396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10037490) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2025-03-24 |