| NPI | 1982832119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 288819) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2012007477) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-06-29 |