| NPI | 1013170554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI DOS-1459) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 007238) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-05-19 |