| NPI | 1922665892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD487810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME157133) |
| 208M00000X Hospitalist (Licence: FL ME157133) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2025-06-04 |