| NPI | 1427626449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT222720) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.148949) |
| 207R00000X Internal Medicine (Licence: OH 35.148949) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-05-13 |