| NPI | 1366650186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-6175) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 255633) |
| 282N00000X General Acute Care Hospital | |
| 208M00000X Hospitalist (Licence: AZ 41085) | |
| 208M00000X Hospitalist (Licence: CA A111794) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2010-08-18 |