| NPI | 1447581335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2014-01511) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 004103) |
| Enumeration Date | 2010-01-17 |
| Last Update Date | 2022-09-23 |