| NPI | 1942670179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-47934) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 69621) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2023-04-10 |