| NPI | 1881690147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 36748) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 241904) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-10-27 |