| NPI | 1700016854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A 108929) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A 108929) |
| 207R00000X Internal Medicine (Licence: IL 036133312) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2015-12-14 |