| NPI | 1932859139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD489208) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD489208) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-08-26 |