| NPI | 1164739272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL me136080) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D72745) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2018-10-10 |