| NPI | 1083193304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A173970) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A173970) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2021-07-22 |