| NPI | 1407045396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 233907) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 6527900-1205) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2022-02-02 |