| NPI | 1609803774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD24573) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-00010) |
| 208M00000X Hospitalist (Licence: OR MD24573) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-07-17 |