| NPI | 1982018826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 326707) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 326707) |
| 207R00000X Internal Medicine (Licence: MS 25279) | |
| 208M00000X Hospitalist (Licence: AL DO.1705) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2021-06-10 |