| NPI | 1861837783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2017008334) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020406) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2023-12-31 |