| NPI | 1124768395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 87615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL87615) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-09-03 |