| NPI | 1174189500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 22083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1022489) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-03-11 |