| NPI | 1467613422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101257270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191694) |
| 208M00000X Hospitalist (Licence: VA 0101257270) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2024-05-03 |