| NPI | 1043487978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 291778) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD435811) |
| 208M00000X Hospitalist (Licence: OH 094271) | |
| 208M00000X Hospitalist (Licence: MI 4301095468) | |
| 208M00000X Hospitalist (Licence: WA MD60067500) | |
| 208M00000X Hospitalist (Licence: NJ 25MA08443800) | |
| 208M00000X Hospitalist (Licence: ND PT11380) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2018-06-22 |