| NPI | 1528704798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.51673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.51673) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-09-09 |