| NPI | 1134169675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WY 9834A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036091862) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-10-30 |