| NPI | 1639523020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.41618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL PENDING) |
| 207R00000X Internal Medicine (Licence: NC 201902147) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2024-08-28 |