| NPI | 1801109111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 52675) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 52675) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2022-09-13 |