| NPI | 1760702922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 70336) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 70336) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2024-06-05 |