| NPI | 1578889747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101018692) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2016014153) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2024-11-05 |