| NPI | 1598935314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA MD.202723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY.2.LSUN-IM) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2020-05-07 |