| NPI | 1265826341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 080926) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 080926) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-11-06 |