| NPI | 1942443197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 19032) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT medphyslic19032) |
| 208M00000X Hospitalist (Licence: MT medphyslic19032) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2023-11-27 |