| NPI | 1699449124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2024-00286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351047839) |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2024-06-18 |