| NPI | 1063588259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101056031) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DC MD039314) |
| 208M00000X Hospitalist (Licence: MD D60995) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2021-06-02 |