| NPI | 1457714982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A151787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 151787) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2021-09-30 |