| NPI | 1881082048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS13187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0063522) |
| 207R00000X Internal Medicine (Licence: FL UO3005) | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2024-05-29 |