| NPI | 1952352213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E1577) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E-1577) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-09-14 |