| NPI | 1407208341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D97071) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2019-02122) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2023-04-11 |