| NPI | 1326569914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 282215) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272459) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2020-09-29 |