| NPI | 1881956886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A139209) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036.139140) |
| 208M00000X Hospitalist (Licence: VA 0101259143) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2016-07-06 |