| NPI | 1972966869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D86521) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0086521) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2020-10-08 |