| NPI | 1942556261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI 17989) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 17790) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2022-04-18 |