| NPI | 1235313149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS20379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016416) |
| 207R00000X Internal Medicine (Licence: FL OS20379) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2024-01-17 |