| NPI | 1295399087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 42487) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME171524) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2025-11-13 |