| NPI | 1881837581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301087289) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 43872) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2014-07-21 |