| NPI | 1881838910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-18033) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 56323) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2021-12-10 |