| NPI | 1447282991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 14601) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 25718) |
| 174400000X Specialist (Licence: MS 14601) | |
| 208M00000X Hospitalist (Licence: MS 14601) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-11-20 |