| NPI | 1720390503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 68673) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DC MD041303) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-05-14 |