| NPI | 1821094350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 9800199) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID MC-2074) |
| 208M00000X Hospitalist (Licence: AZ 64097) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2024-07-19 |