| NPI | 1841684370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS020816) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 02005596A) |
| 207R00000X Internal Medicine (Licence: NC 2016-01583) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-07-06 |