| NPI | 1386964146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID O-0715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID O0715) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2020-04-14 |