| NPI | 1598060907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 50779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ZZ 0000000) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2017-05-25 |