| NPI | 1780642090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D59190) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101249762) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-11-09 |