| NPI | 1417344474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD481190) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 48348) |
| 207R00000X Internal Medicine (Licence: KY 48348) | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2023-07-17 |