| NPI | 1033475181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME129594) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD208037) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2022-07-21 |