| NPI | 1770670150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 20771) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 01-01422) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2017-07-20 |