| NPI | 1184154106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA 50148) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 68080) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-10-03 |