| NPI | 1902816820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AK 6685) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 57198751205) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-09-24 |