| NPI | 1104811538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 25877) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD39206) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2024-02-02 |