| NPI | 1164942959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME157685) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 305518) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-12-05 |