| NPI | 1932410271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0060210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS016560) |
| 208M00000X Hospitalist (Licence: PA OS016560) | |
| 208M00000X Hospitalist (Licence: FL OS12301) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2025-10-30 |