| NPI | 1043563398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME151590) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E-9962) |
| 207R00000X Internal Medicine (Licence: AL L3692) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2022-08-12 |