| NPI | 1053841320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 282099) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 76457) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-05-22 |