| NPI | 1265872691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD182044) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD182044) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2025-01-08 |