| NPI | 1689832354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 53462-20) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2011-01354) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-12-02 |