| NPI | 1558442194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 22724) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 14373) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-02-01 |