| NPI | 1285994301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 55451) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A127425) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2020-10-08 |