| NPI | 1598981862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NM MD2013-0027) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2008029333) |
| 208M00000X Hospitalist (Licence: KY 44146) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-01-24 |