| NPI | 1881972677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD205272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.207181) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2023-07-12 |