| NPI | 1063142487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-51963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12472) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-03-25 |