| NPI | 1114238540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO1835) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 006345) |
| 208M00000X Hospitalist (Licence: NV DO1835) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2023-12-04 |