| NPI | 1124236690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA Do.000042) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA DO000042) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-10-07 |