| NPI | 1932534435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL UO3570) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS13154) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2016-09-26 |