| NPI | 1902157779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 89436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS13617) |
| 208M00000X Hospitalist (Licence: FL OS13617) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2024-01-14 |