| NPI | 1336580802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 40444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 40444) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2017-06-27 |