| NPI | 1477568137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-39793) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NE 26343) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2017-04-11 |