| NPI | 1033393582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A99396) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A99396) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2021-10-21 |