| NPI | 1942476114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0102203717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102203717) |
| 207R00000X Internal Medicine (Licence: PA OT011339) | |
| 207R00000X Internal Medicine (Licence: NC 2008-01696) | |
| 207R00000X Internal Medicine (Licence: PA OS014324) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2024-02-05 |