| NPI | 1467637751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0067452) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D0067452) |
| 207R00000X Internal Medicine (Licence: PA MD440246) | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2024-01-15 |