| NPI | 1144783465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS023238) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A19551) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2024-01-04 |