| NPI | 1669627824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 52385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 321484) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2023-11-17 |