| NPI | 1285803262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS12183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS12183) |
| 208M00000X Hospitalist (Licence: SC 87817) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2024-01-18 |