| NPI | 1487717534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 12959) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 12959) |
| 208M00000X Hospitalist (Licence: CA A86648) | |
| 207R00000X Internal Medicine (Licence: NY 233257-1) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-05-17 |