| NPI | 1235195652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 46267) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 46267) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-09-10 |