| NPI | 1477575355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2022-0355) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 27434) |
| 207R00000X Internal Medicine (Licence: VA 0101229030) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2024-01-05 |