| NPI | 1427409887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA DO-05413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022815) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-04-30 |