| NPI | 1578980611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101271208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 17314) |
| 208M00000X Hospitalist (Licence: NV 17314) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2023-06-21 |