| NPI | 1518961945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D46312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0046312) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-09-19 |