| NPI | 1649487257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO1528) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV DO1528) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-01-24 |