| NPI | 1447418686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A121203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125049835) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2021-12-08 |