| NPI | 1750647145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A127493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A127493) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2021-02-16 |