| NPI | 1992947147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2013-00223) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 157568) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2025-03-06 |