| NPI | 1891908786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0069021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD489272) |
| 207R00000X Internal Medicine (Licence: MD D0069021) | |
| 208M00000X Hospitalist (Licence: PA MD489272) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-11-06 |