| NPI | 1790902344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 25607) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA MD-42914) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-09-06 |