| NPI | 1376961326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME144520) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A138880) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2024-01-06 |