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 |