| NPI | 1689626988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2007-01815) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 56689) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-12-06 |