| NPI | 1851577571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS014315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS 014315) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2021-02-24 |