| NPI | 1346626355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 286675) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 294515) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2021-04-14 |