| NPI | 1619220944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-00526) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119856) |
| 208M00000X Hospitalist (Licence: CA A119856) | |
| 208M00000X Hospitalist (Licence: NC 2018-00526) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2025-06-23 |