| NPI | 1235460213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 073978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35097865) |
| 207R00000X Internal Medicine (Licence: TX P5035) | |
| 207R00000X Internal Medicine (Licence: AR E-7417) | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2019-10-02 |