| NPI | 1275949463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 67171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014019005) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2022-11-14 |