| NPI | 1255562039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 26865) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-47305) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2020-07-10 |