| NPI | 1316184948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 51232) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 276270) |
| 208M00000X Hospitalist (Licence: SD 7811) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2024-04-12 |