| NPI | 1285958884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 14674) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 14674) |
| 208M00000X Hospitalist (Licence: UT 13284776-1205) | |
| 207R00000X Internal Medicine (Licence: UT 13284776-1205) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2023-05-03 |