| NPI | 1952480683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD214143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2020-0253) |
| 208M00000X Hospitalist (Licence: WY 13658C) | |
| 208M00000X Hospitalist (Licence: CA G61175) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-02-10 |