| NPI | 1003434838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 33920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.249157) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-12-04 |