| NPI | 1598921355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 115218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 098428) |
| 207R00000X Internal Medicine (Licence: CA A115218) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-10-04 |