| NPI | 1376833293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2017-01051) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 31926) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2023-02-27 |