| NPI | 1346637741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 58541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME132399) |
| 208M00000X Hospitalist (Licence: NM MD2018-0831) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-07-27 |