| NPI | 1932392693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 10658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44710) |
| 208M00000X Hospitalist (Licence: OR MD217211) | |
| 208M00000X Hospitalist (Licence: NC 2016-00142) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2023-11-09 |