| NPI | 1023233400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.025860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A98818) |
| 208M00000X Hospitalist (Licence: NM md2005-0487) | |
| 207R00000X Internal Medicine (Licence: LA MD.025860) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2017-04-03 |