| NPI | 1720449531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34.015698) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.015698) |
| 208M00000X Hospitalist (Licence: PA OS019541) | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2024-02-21 |