| NPI | 1497045512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 37211) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 24500) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2021-03-26 |