| NPI | 1407207004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS015351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS15351) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2023-08-11 |