| NPI | 1588994289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2012035049) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 265885) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2012-12-02 |