| NPI | 1154826907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A175207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME151850) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-09-01 |