| NPI | 1265494686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 200300922) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 26895) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2021-03-03 |