| NPI | 1932496791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A147969) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 275622-1) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2022-10-13 |