| NPI | 1043476096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41841) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 41841) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2020-11-25 |