| NPI | 1982637062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2006-01192) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC pending) |
| 208M00000X Hospitalist (Licence: SC 83372) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-03-07 |