| NPI | 1811208861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2012012179) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 05-35430) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-12-21 |