| NPI | 1831320431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102202876) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0102202876) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2018-07-05 |