| NPI | 1326376773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2016039208) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 29244) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2017-11-27 |