| NPI | 1629245485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2009-00248) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 53268) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2025-11-14 |