| NPI | 1366871493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD177689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 177689) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2017-12-18 |