| NPI | 1275199523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 21477) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PR 21477) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-10-10 |