| NPI | 1346417110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A111879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 16891) |
| 208M00000X Hospitalist (Licence: NV 16891) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2024-04-11 |