| NPI | 1326327651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME143050) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 052593) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2020-10-07 |