| NPI | 1992956122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301100175) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01084354A) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2023-10-23 |