| NPI | 1932354156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101249807) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101249807) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2016-01-13 |