| NPI | 1649541301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2017-0635) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 46381) |
| 208M00000X Hospitalist (Licence: AZ 46381) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2019-04-16 |