| NPI | 1194138115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 86999) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 2900361) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-10-01 |