| NPI | 1881969780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD181046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 8871) |
| 207R00000X Internal Medicine (Licence: OR MD181046) | |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2023-07-17 |