| NPI | 1659523975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A110901) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A110901) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2024-07-30 |