| NPI | 1669550554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 219542) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A86335) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-07-25 |