| NPI | 1487632196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 41938-020) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA C165857) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2022-04-14 |