| NPI | 1003949710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 275766) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME98303) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-11-15 |