| NPI | 1386085165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 268420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268420) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2016-08-08 |