| NPI | 1376799064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV do1552) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV do1552) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2017-10-16 |