| NPI | 1164576245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA DO-04407) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 4407) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-07-07 |