| NPI | 1992089619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2014034796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014034796) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2024-08-28 |