| NPI | 1942608252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201402094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2014-02094) |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: IL 036.145875) | |
| 208M00000X Hospitalist (Licence: NC 2014-02094) | |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2024-03-06 |