| NPI | 1174729891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 002950) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101258498) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2016-05-31 |