| NPI | 1053417162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D54347) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D54347) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-08-10 |