| NPI | 1023452752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 75950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME128003) |
| 207R00000X Internal Medicine (Licence: GA 75950) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2021-04-12 |