| NPI | 1215113279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 235443) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 235443) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2023-05-03 |