| NPI | 1306005285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 42128) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY TP136) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-12-11 |