| NPI | 1780065599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-11610) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 343236) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2024-07-29 |