| NPI | 1932661576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 343105) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 22334) |
| 207R00000X Internal Medicine (Licence: NV 22334) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-11-22 |