| NPI | 1841640166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 98985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 324739) |
| 208M00000X Hospitalist (Licence: LA 324739) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-04-30 |