| NPI | 1700182714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 71025) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 45633) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2023-11-15 |