| NPI | 1821414459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 64077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P28757) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2022-07-21 |