| NPI | 1013942093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 13887) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NM 20030423) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-02-28 |