| NPI | 1740545052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86648) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: AL MD.34957) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2021-03-24 |