| NPI | 1497951446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.203878) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 203878) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2021-05-27 |