| NPI | 1063962710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 201602299) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-43670) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2024-01-18 |