| NPI | 1942431903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 52825) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD463104) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2026-01-12 |