| NPI | 1528529807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089753A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 316135) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-11-16 |