| NPI | 1831332444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2010024524) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 0435710) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2017-01-16 |