| NPI | 1346437712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI 16109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A97695) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2018-06-13 |