| NPI | 1184882383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-7051) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-7051) |
| 208M00000X Hospitalist (Licence: AR E-7051) | |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2025-01-24 |