| NPI | 1528391034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60573077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-01766) |
| 208M00000X Hospitalist (Licence: IN 01070284A) | |
| 208M00000X Hospitalist (Licence: CA A121847) | |
| 207R00000X Internal Medicine (Licence: NY 254780) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2019-01-11 |