| NPI | 1508395658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD H91393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H91393) |
| 207R00000X Internal Medicine (Licence: MD H0091393) | |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2021-07-26 |