| NPI | 1720255599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD203058) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA md203058) |
| 207R00000X Internal Medicine (Licence: LA MD203058) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2015-07-13 |