| NPI | 1306259866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 32488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-10757) |
| 208M00000X Hospitalist (Licence: IA MD47614) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-07-28 |