| NPI | 1245292549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101014516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 1738) |
| 208M00000X Hospitalist (Licence: WI 1738) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2024-06-17 |