| NPI | 1093975658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MI 4301101854) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME140866) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2023-11-10 |