| NPI | 1053514455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 48038) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WY 12270A) |
| 208M00000X Hospitalist (Licence: AR E-7314) | |
| 208M00000X Hospitalist (Licence: KY TP835) | |
| 208M00000X Hospitalist (Licence: ID M-17195) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-05-03 |