| NPI | 1700033032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 51854) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD204817) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2024-08-15 |