| NPI | 1124386669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME162764) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01079387A) |
| 208M00000X Hospitalist (Licence: KY 47763) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-03-25 |