| NPI | 1982845962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.204720) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD204720) |
| 208M00000X Hospitalist (Licence: LA MD.20470) | |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2023-05-17 |