| NPI | 1699026195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD P27694) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 31537) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2023-07-18 |