| NPI | 1114958840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 0041751) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 219390) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-05-30 |