| NPI | 1912948167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 64307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12873) |
| 208M00000X Hospitalist (Licence: PA MD454387) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-10-07 |