| NPI | 1649370867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NV 20717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 20717) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2026-06-24 |