| NPI | 1780667725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 25611) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 32703) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-10-08 |