| NPI | 1316721699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-56243) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-56243) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2026-07-28 |