| NPI | 1467625277 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A112908) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002543) | 
| 208M00000X Hospitalist (Licence: CA A112908) | |
| Enumeration Date | 2008-04-12 | 
| Last Update Date | 2023-11-05 |