| NPI | 1396172748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101266168) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD456908) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2019-06-27 |