| NPI | 1134489784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 38767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P27779) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2024-07-02 |