| NPI | 1659557833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 63315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002183) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2023-03-02 |