| NPI | 1831431238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A132138) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 310259) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2019-11-13 |