| NPI | 1407350259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS020203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS020203) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-02-07 |