| NPI | 1780030833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ID M-16637) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2024039467) |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2024-12-03 |