| NPI | 1457516288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 2067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 007164) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-08-29 |