| NPI | 1891090734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 111739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255285) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2024-04-08 |