| NPI | 1992925630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2009005682) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2009005682) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-11-12 |