| NPI | 1881872844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 14915) |
| 208M00000X Hospitalist (Licence: CA C153120) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2024-02-13 |