| NPI | 1700852332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101042694) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101042694) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2023-11-03 |