| NPI | 1215906458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 11842) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 2328501) |
| 207R00000X Internal Medicine (Licence: NY 2328501) | |
| 208M00000X Hospitalist (Licence: NV 11842) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2010-08-02 |