| NPI | 1538402052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-52685) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 62654-20) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-06-07 |