| NPI | 1770808156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS12082) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 03586) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2022-07-07 |