| NPI | 1619925989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A71176) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A71176) |
| 208M00000X Hospitalist (Licence: CA A71176) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-10-23 |