| NPI | 1952362642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 22468) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 022468) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-10-14 |