| NPI | 1871756890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2015-01764) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 254136) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-02-22 |