| NPI | 1447516752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR DO169749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO169749) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-08-18 |