| NPI | 1770577249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 075097) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 075097) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2016-03-31 |