| NPI | 1295149896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL37116) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036142905) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2025-02-13 |