| NPI | 1053623314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD182576) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SD 7780) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2023-08-08 |