| NPI | 1245645647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2019-01086) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 37043) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-05-27 |