| NPI | 1821483058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301114817) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301114817) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2022-11-08 |