| NPI | 1700068202 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD30861) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 89718) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2021-10-05 |