| NPI | 1376514406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 30404) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 30404) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-11-12 |