| NPI | 1396185419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101265179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315060879) |
| 208M00000X Hospitalist (Licence: VA 0101265179) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2021-06-18 |