| NPI | 1194061150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 076312) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 076312) |
| 208M00000X Hospitalist (Licence: GA 076312) | |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2024-08-14 |