| NPI | 1629393012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-23732) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MT 23836) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2023-09-21 |