| NPI | 1932661394 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD477877) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD477877C) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-12-03 |