| NPI | 1861444879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2018042049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME108424) |
| 208M00000X Hospitalist (Licence: CA A96702) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-01-19 |