| NPI | 1427285394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 205442) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A118305) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A118305) | |
| 208M00000X Hospitalist (Licence: CA A118305) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2023-06-29 |