| NPI | 1942450069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A120296) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A120296) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2020-01-15 |