| NPI | 1801328034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 321633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 321633) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2021-06-16 |