| NPI | 1487648556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME69548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 059919) |
| 208M00000X Hospitalist (Licence: GA 059919) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2024-02-06 |