| NPI | 1184908295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 52355) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OR MD165314) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2019-07-19 |