| NPI | 1184958035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC MD36308) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 24908) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2016-01-11 |