| NPI | 1033430798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D0091512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013023319) |
| 208M00000X Hospitalist (Licence: KS 0440721) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-08-31 |