| NPI | 1033425764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL DO1270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO.1270) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2023-03-30 |