| NPI | 1144601279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 62359) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 83337) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-12-06 |