| NPI | 1770775033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.29036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL LT899) |
| 207P00000X Emergency Medicine (Licence: AL MD.29036) | |
| 208M00000X Hospitalist (Licence: AL MD.29036) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2010-05-25 |