| NPI | 1649650185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101021944) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 02005513A) |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2024-10-30 |