| NPI | 1942402516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME99413) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD432188) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2010-12-27 |