| NPI | 1952315988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ MD23307) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ MD23307) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-10-22 |