| NPI | 1871821090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS014983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA os014983) |
| Enumeration Date | 2009-11-29 |
| Last Update Date | 2017-08-30 |