| NPI | 1316388549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT MED-PHYS-LIC-47526) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 4711) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2024-08-28 |