| NPI | 1689948572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M-11720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A118892) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2019-05-01 |