| NPI | 1942839931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD500003196) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD480571) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-06-24 |