| NPI | 1700827995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 26157) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC LL26157) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-12-01 |