| NPI | 1245625557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101266553) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101266553) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2023-07-24 |