| NPI | 1265662928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 46249) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 46249) |
| 208M00000X Hospitalist (Licence: AZ 46249) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2023-05-24 |