| NPI | 1871857953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 16023) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 16023) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2023-10-19 |