| NPI | 1841484359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 12363) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 261721) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2020-04-21 |