| NPI | 1912938333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 61509) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 32176-20) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-10-03 |