| NPI | 1376786830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D84361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 53911) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2020-07-15 |