| NPI | 1881717775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 059824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086099) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2020-10-06 |