| NPI | 1144589524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PR 18,723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18723) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2015-11-19 |