| NPI | 1326070855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 229168) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 0065111) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-12-12 |