| NPI | 1497068688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A13372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A13372) |
| 207R00000X Internal Medicine (Licence: IL 125057749) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2019-11-21 |