| NPI | 1427164961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NH 13799) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 236325) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-07-17 |