| NPI | 1649445834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101246120) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D69481) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2018-05-15 |