| NPI | 1255728994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 81328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 081328) |
| 208M00000X Hospitalist (Licence: GA 081328) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2026-01-13 |