| NPI | 1194036723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 26888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6241) |
| 208M00000X Hospitalist (Licence: IA MD-41698) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2019-12-18 |