| NPI | 1265651632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A9427) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A9427) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-11-04 |