| NPI | 1245442748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 24806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE bp9340491) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-04-10 |