| NPI | 1043206758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 14714R) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.14714R) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2022-07-21 |