| NPI | 1932582848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-46431) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NE 31974) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2019-08-30 |