| NPI | 1952741829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS13023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3617) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-03-13 |