| NPI | 1972917250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS018546) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS018546) |
| 207R00000X Internal Medicine (Licence: PA OS018546) | |
| 208M00000X Hospitalist (Licence: PA OS018546) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2021-03-01 |