| NPI | 1689885865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 73156) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2009-01891) |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2021-07-15 |