| NPI | 1801054184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-37807) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 37807) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2014-03-18 |