| NPI | 1386732246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A66296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA BK6052093) |
| 208M00000X Hospitalist (Licence: CA A66296) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-09-01 |