| NPI | 1013213776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 46502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 127851) |
| 207R00000X Internal Medicine (Licence: VA 0101254825) | |
| 208M00000X Hospitalist (Licence: IN 01076265A) | |
| 208M00000X Hospitalist (Licence: PA MD454367) | |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2022-07-21 |