| NPI | 1669436911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 267226) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 81752) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-09-26 |