| NPI | 1982133781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD477025) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 341938) |
| 207R00000X Internal Medicine (Licence: PA HS000197L) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2026-03-31 |