| NPI | 1578510657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 22558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 22558) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-07-05 |