| NPI | 1750744306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 52362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 52362) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-12-19 |