| NPI | 1285096305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 63645) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 303088) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-06-25 |