| NPI | 1699162099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.145167) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036145167) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2023-02-24 |