| NPI | 1033368113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ME MD17919) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NM MD2014-0612) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2024-09-10 |