| NPI | 1255564365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 26775) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-44404) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2019-09-06 |