| NPI | 1417122920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 75599) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 65960) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2021-09-22 |