| NPI | 1043308877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 054264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 54264) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-01-19 |