| NPI | 1033418991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 48131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57014845) |
| 207R00000X Internal Medicine (Licence: MO 2011016963) | |
| 207R00000X Internal Medicine (Licence: AZ 48131) | |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2015-10-08 |