| NPI | 1619973450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P2015) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 233140) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2017-02-01 |