| NPI | 1982772505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 2267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK AA2267) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-07-21 |