| NPI | 1053844142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.164855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 72984) |
| 208M00000X Hospitalist (Licence: WI 72984) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-11-11 |