| NPI | 1508001496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 078900) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 37363) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2024-04-24 |