| NPI | 1871876110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PR 18328) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 18328) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2019-01-15 |