| NPI | 1497152078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A155987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 289724) |
| 207R00000X Internal Medicine (Licence: LA 344321) | |
| 208M00000X Hospitalist (Licence: CA A155987) | |
| 208M00000X Hospitalist (Licence: NY 289724) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2025-05-16 |