| NPI | 1780028779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 70569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME115764) |
| 208M00000X Hospitalist (Licence: GA 70569) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2024-05-23 |