| NPI | 1447485818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2013-00011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-00011) |
| 207R00000X Internal Medicine (Licence: NC 2013-00011) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2021-03-31 |