| NPI | 1225291479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 33038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC TL33038) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2021-05-20 |