| NPI | 1003074154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2014-00281) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 40395) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2023-09-01 |