| NPI | 1396007837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73374) |
| 208M00000X Hospitalist (Licence: VA 0101260040) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2024-01-16 |