| NPI | 1124513973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS021492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0069334) |
| 208M00000X Hospitalist (Licence: CO DR.0069334) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-01-29 |